Elizabeth Green, | |
55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | |
(800) 370-3651 | |
(877) 515-7147 |
Full Name | Elizabeth Green |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 55 Hatchetts Hill Rd, Old Lyme, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780125328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 58318 (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Green, 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 Ph: (800) 370-3651 | Elizabeth Green, 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 Ph: (800) 370-3651 |
Deborah Feigenbaum, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Hartung Pl, Old Lyme, CT 06371 Phone: 860-922-7715 | |
Ms. Pam Ingersoll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Gungy Rd, Old Lyme, CT 06371 Phone: 860-961-3644 | |
Jonas Robert Steiner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147 | |
Mrs. Cynthia Jane Sepe, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 12 Dennis Rd, Old Lyme, CT 06371 Phone: 860-227-7311 | |
Lisa Umanita, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 | |
Kelsey Ott-sudik, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147 |